What is a sialolithotomy?

Sialolithotomy is a surgical procedure performed to remove a salivary stone (sialolith) from a salivary duct or gland. Salivary stones can form in any of the salivary glands, including the parotid glands, submandibular glands, and sublingual glands. If a sialolith blocks the flow of saliva, it can cause pain, swelling, and infection.

Sialolithotomy is typically performed as an outpatient procedure, and involves the following steps:

1. The area around the affected salivary gland is numbed with local anesthesia.

2. A small incision is made in the skin near the salivary gland.

3. The salivary duct is identified and opened, and the sialolith is removed.

4. The incision is closed with sutures.

Following the procedure, the patient may experience some discomfort and swelling. Ice packs, pain medication, and antibiotics may be recommended to help manage these symptoms. In most cases, the patient will be able to return to their normal activities within a few days.

Sialolithotomy is a safe and effective procedure, and is typically associated with a high success rate. Complications are rare, but may include infection, bleeding, and damage to the nerves or salivary glands.